Individual
DR. SHANNA CLAIRE TENCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1510
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036163813
IL
207L00000X
Anesthesiology Physician
200500123
NC
207L00000X
Anesthesiology Physician
Primary
4301100147
MI
207L00000X
Anesthesiology Physician
A105229
CA
Other
Enumeration date
04/20/2007
Last updated
08/11/2025
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